Individual provider Active NPI

Weston Dungan, PHARM.D.

  • Pharmacist
  • Somerset, KY
National Provider Identifier
1902180599
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
015822 Issued in KY
Practice address
25 Medpark Square Dr Ste 4
Somerset, KY 42503-1708
Phone
(606) 676-0199
Fax
(606) 457-7727
NPI assigned
Sep 30, 2011
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015822 KY Primary

Addresses

Primary practice location

25 Medpark Square Dr Ste 4
Somerset, KY 42503-1708

Mailing address

25 Medpark Square Dr Ste 4
Somerset, KY 42503-1708
Phone (606) 676-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
015822KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Care Pharmacy PLLC CurrentSince Oct 17, 2021 Accepting new patients
Advance Care Pharmacy PLLC CurrentSince May 11, 2025 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

25 Medpark Square Dr
Ste 4
Somerset, KY 42503
Phone (205) 412-3863

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1902180599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEDPARK SQUARE DR STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031708",
            "telephone_number": "606-676-0199",
            "fax_number": "606-451-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEDPARK SQUARE DR STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031708",
            "telephone_number": "606-676-0199",
            "fax_number": "606-457-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "WESTON",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.